HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

What Causes A Small Gestational Sac In The Early Pregnancy?

Posted on Fri, 8 Jul 2016

Question: I'm very worried. My daughter is 8 weeks and 3 days pregnant and went for a scan yesterday which showed that the baby's heart is very strong but her sac very small. The doctor also said that her placenta is very weak at moment. He gave a 30 to 40% of the pregnancy going ahead but, even if it does, he didn't paint a very nice picture of what can lay ahead. Any comment on this would be greatly appreciated.

Answered by Dr. Dr. Soumen Patra (26 minutes later)

Brief Answer:
Upload or attach ultrasound scan report.

Detailed Answer:
Hello Dear,

Thanks for writing to us.

Kindly, upload or attach ultrasound scan report to make a review and give proper suggestion accordingly.

1) Does she has any H/O bleeding or spotting in this pregnancy?

2) Any H/O previous pregnancy loss or miscarriage?

I will be looking forward for your earliest response and test report.

Regards,

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Dr. Soumen Patra (53 minutes later)

Unfortunately don't have the scan with me at moment but will scan next week.

The answers to your questions are:

1) Yes, she is spotting during this pregnancy and she bled a lot when she was 6 weeks. Went to the emergency and the heart beat was at 108.

2) She had a little girl in 2013 and since then had two miscarriages, one at 8 weeks with twins.

Thank you so much for your prompt reply. I'm worrying sick.

Regards XXXXXXX XXXX

Answered by Dr. Dr. Soumen Patra (19 hours later)

Brief Answer:
Threatened abortion should be ruled out. Repeat TVS after 1 wk.

Detailed Answer:
Hello,

Thanks for updated information.

1) In this case, I can suggest to take Micronised progesterone supplement and prenatal vitamins. They would help to prevent threatened miscarriage if occurs.

2) Repeat Trans Vaginal ultrasound scan after 1 week to confirm the viability of the fetus. Take adequate bed rest; AVOID heavy work, uneven surface, long journey, high heel shoe and maintain genital hygiene properly.

3) I suggest you to consult with your treating doctor for complete prescription and management of the case. You may need to proceed some investigation if you lose this pregnancy.

Hope, I have answered your query. Wish your good health and take care.

For future query, you can directly approach me through

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326

Regards,

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Dr. Soumen Patra (3 days later)

Thank you so much for your valuable recommendation, Dr Patra.

I am now emailing you the scan taken at 8 weeks and 3 days and would appreciate your opinion.

The spot has stopped now, is it a good sign?

Thanking you
Regards XXXXXXX

Answered by Dr. Dr. Soumen Patra (12 hours later)

Brief Answer:
Not confirmatory sign of healthy pregnancy. Attach report.

Detailed Answer:
Hello Dear,

Thanks for follow up query.

1) Cessation of spotting is NOT a confirmatory sign of healthy pregnancy. You must follow the previous advices.

2) I have reviewed the scan and you should attach the report to comment on the case properly.

I will be looking forward for your earliest response and attached report.

Regards,

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Nagamani Ng